高压氧辅助治疗脑膜瘤术后脑水肿的临床效果  

Clinical effect of hyperbaric oxygen assistant therapy in the treatment of brain edema after meningioma surgery

作　　者：彭慕建[1] 沈建忠[1] 周亮[1] 

机构地区：[1]井冈山大学附属医院神经外科,江西吉安343000

出　　处：《中国当代医药》2017年第4期77-79,共3页China Modern Medicine

摘　　要：目的研究高压氧辅助治疗脑膜瘤术后脑水肿的临床效果。方法选取我院2015年3月~2016年7月收治的40例脑膜瘤术后脑水肿患者作为研究对象,随机分为观察组和对照组,各20例。对照组实施常规治疗,观察组在对照组的基础上实施高压氧治疗,比较两组治疗后的脑水肿量化指数评分和总有效率。结果观察组的总有效率为85.00%,显著高于对照组的60.00%,差异有统计学意义(P<0.05)。两组治疗后的脑水肿量化指数评分显著低于治疗前,差异有统计学意义(P<0.05)。观察组治疗后的脑水肿量化指数评分为(0.21±0.05)分,显著低于对照组的(1.57±0.53)分,差异有统计学意义(P<0.05)。结论给予脑膜瘤术后脑水肿患者高压氧辅助治疗,不仅能促进患者脑组织功能恢复,还能使脑水肿情况较快消退,进而改善患者脑水肿量化指数评分,提高总有效率,值得临床推广应用。Objective To study the clinical effect of hyperbaric oxygen assistant therapy in the treatment of brain edema after meningioma surgery.Methods 40 patients with cerebral edema after meningioma surgery from March 2015 to July2016 in our hospital were selected and randomly divided into the control group and the observation group,20 cases in each group.The control group was treated with routine therapy,the observation group was treated with hyperbaric oxygen assistant therapy on the basis of the control group.The scores of brain edema quantification index and the total effective rate were compared between the two groups after cerebral edema.Results The total effective rate of the observation group was 85.00%,which was higher than that of the control group（60.00%）,with significant difference（P〈0.05）.The quantification index of brain edema after treatment in the two groups was lower than that before treatment,with significant difference（P〈0.05）.The quantification index of brain edema after treatment in the observation group was（0.21±0.05） points,which was lower than that in the control group [（1.57 ±0.53） points],with significant difference（P〈0.05）.Conclusion The hyperbaric oxygen assistant therapy can not only promote the recovery of brain tissue function,but also make the cerebral edema rapidly dissipated,which can improve the score of brain edema quantification index,increase the total effective rate,it is worthy of clinical promotion and application.

关 键 词：脑膜瘤 术后脑水肿 高压氧 

分 类 号：R742.7[医药卫生—神经病学与精神病学]